Senior examiner Job at AQA

Claims Examiner Senior

The Claims Examiner Senior is responsible for reviewing, analyzing, researching,...

Location

United States , Irving

Salary:

Not provided

CHRISTUS Health

Expiration Date

Until further notice

Requirements

Associate's degree or equivalent job-related experience required
Minimum of 3 years’ experience processing medical claims in the healthcare industry
Must be knowledgeable about medical terminology, CPT, HCPCS, ICD-10, Revenue Codes, CMS-1500 and CMS-1450/UB-04 claim forms and reimbursement methodologies
Must have excellent written, verbal, organizational and interpersonal communication skills
Must be proficient in Microsoft Office, Power Point, Excel, Word, Outlook, spreadsheet, and database skills

Job Responsibility

Analyze medical claim information and take appropriate action for payment resolution in accordance with policies and procedures, desktops, processing guidelines, and federal regulations
Process medical claims submitted on CMS-1500 and CMS-1450/UB-04 claim forms from facilities, physicians, Home Health, Durable Medical Equipment providers, laboratories, etc
Work claim projects resulting from overpayments or underpayments related to manual processing errors, benefit updates, and/or contract, fee schedule changes
Process provider refunds, reconsiderations, and direct member reimbursements
Process medical claim adjustments, recovery of claim overpayments, and execution of claim batch adjudication
Solve moderately complex claims and escalate issues to the Claims Team Lead, Supervisor or Manager
Assist with database improvements and testing for system upgrades, conversions, or implementation of new processes
Serves as a resource to assist with training new associates, retraining current associates on new/updated desktops/policies and reports staff progress, deficiencies, and training needs to management
Sets high standards of performance and promotes teamwork to achieve established team goals, while maintaining a positive, professional attitude
Contacting/responding to internal and external customers for resolution on claim issues

Fulltime

New

Outsourcing Governance and Oversight Senior Manager

The Outsourcing Governance and Oversight Manager is a senior leadership position...

Location

Ireland , Dublin

Salary:

109920.00 - 164880.00 EUR / Year

Citi

Expiration Date

Until further notice

Requirements

Extensive experience in financial services, with tenure in a senior leadership role within fund services, risk, controls, or outsourcing governance at a global or regional level
Audit experience (internal audit, external audit, or regulatory examination management) within the financial services industry
Excellent command of English with exceptional written and verbal communication skills
Deep understanding of fund products, risk management frameworks, operational controls and a comprehensive understanding of global regulatory frameworks applicable to fund administration and outsourcing
Exceptional project and programme management skills, with the ability to manage multiple concurrent initiatives
Ability to implement, manage, and evolve enterprise-scale governance frameworks across complex organisations
Proven ability to lead, inspire, and develop geographically dispersed teams
Adaptable and resilient in a fast-paced, constantly evolving global environment

Job Responsibility

Global Outsourcing Governance Framework: Define, evolve, and support a robust, globally consistent governance and oversight framework for all outsourced and off-shored functions across GFS
Global Due Diligence Programme Management: Own and maintain the Global Due Diligence Schedule, overseeing the planning and execution of due diligence service visits to all COE sites and our outsourcing services providers across jurisdictions
Regulatory Compliance and Engagement: Monitor the evolving global regulatory landscape to proactively ensure full compliance with all applicable requirements related to Governance Oversight across all GFS jurisdictions
Audit and Examination Leadership: Act as the global senior interface for external audit, regulatory examination activity, and internal audit/compliance reviews related to outsourcing governance
Operational Risk & Controls Oversight: Provide global senior oversight of operational controls for outsourced and off-shored functions, ensuring a consistent and robust control environment
Reporting & Management Information: Support the production of high-quality global monthly and quarterly reporting
Strategic Leadership and Organisational Development: Provide visionary leadership to a globally distributed team
Drive continuous improvement initiatives within governance processes and controls

What we offer

Competitive base salary (which is annually reviewed)
Additional benefits that support you (and your family) to be well, live well and save well
Business casual workplace
Hybrid working model (up to 2 days working at home per week)

Fulltime

Senior examiner

Location

Salary:

Not provided

AQA

Expiration Date

Until further notice

Requirements

A list of relevant qualifications along with the dates you achieved them
Your relevant employment history, along with the dates of employment
A personal statement outlining your skills and suitability (of no more than 500 words)

Director, IP Strategy

Archer is growing its world-class team of experienced legal problem solvers to h...

Location

United States , San Jose

Salary:

250000.00 - 300000.00 USD / Year

Archer Aviation

Expiration Date

Until further notice

Requirements

8-12 years of substantive patent prosecution, counseling, and/or litigation experience, with at least 3 of those years with an operating company or agency (not a law firm)
Technical degree in at least one of the following disciplines: physics, mechanical engineering, electrical engineering, or computer science
Support supply chain and commercial legal team on types of commercial contracts including component parts, raw materials, and equipment purchase and lease agreements, joint development agreements, and manufacturing agreements
Excellent communication skills (verbal and written), including the ability to relay complex information quickly and effectively in an efficient and easily understandable format
Must be a self-starter with the ability to be proactive, work independently, manage multiple projects simultaneously, and exercise sound business judgment
Experience successfully performing in high-pressure and ambiguous environments
Authorized to practice law in a US state, or equivalent substantial IP experience (e.g., patent agent, patent examiner, senior engineer with experience or aptitude in IP)

Job Responsibility

Keep pace with Archer product plans and competitor roadmaps
Develop and implement the commercial IP strategies for each product and market segment
Educate engineers on IP and manage a flow of invention disclosures, trade secrets, and domestic/international patent filings in electric/hybrid aerospace and airport/airline infrastructure systems, components, and operations, including flight controls, propellers, electric engine, powertrain, high volume manufacturing, test & instrumentation, artificial intelligence, and software
Manage a significant part of the rapidly growing Archer patent portfolio, including conducting patentability assessments, and managing relationships with outside counsel
Support IP related contractual provisions of supply agreements for parts and raw materials, equipment purchase and lease agreements, manufacturing agreements, joint development agreements, intellectual property (IP) licenses, acquisitions, and other transactions
Support M&A due-diligence, third party IP litigation and dispute-resolution efforts
Support continuous improvement of Archer IP processes to keep ahead of industry best-practices

What we offer

bonuses
stock

Fulltime

Senior Counsel Intellectual Property

Archer is growing its world-class team of experienced legal problem solvers to h...

Location

United States , San Jose

Salary:

230000.00 - 250000.00 USD / Year

Archer Aviation

Expiration Date

Until further notice

Requirements

5-10 years of substantive patent prosecution, counseling, and/or litigation experience
At least 3 of those years with an operating company or agency (not a law firm)
Technical degree in physics, mechanical engineering, electrical engineering, or computer science
Excellent communication skills (verbal and written)
Must be a self-starter with the ability to be proactive, work independently, manage multiple projects simultaneously, and exercise sound business judgment
Experience successfully performing in high-pressure and ambiguous environments
Authorized to practice law in a US state, or equivalent substantial IP experience (e.g., patent agent, patent examiner, senior engineer with experience or aptitude in IP)

Job Responsibility

Keep pace with Archer product plans and competitor roadmaps
Develop and implement the commercial IP strategies for each product and market segment
Educate engineers on IP and manage a flow of invention disclosures, trade secrets, and domestic/international patent filings in electric/hybrid aerospace and airport/airline infrastructure systems
Manage a significant part of the rapidly growing Archer patent portfolio, including conducting patentability assessments, and managing relationships with outside counsel
Support IP related contractual provisions of supply agreements, equipment purchase and lease agreements, manufacturing agreements, joint development agreements, intellectual property (IP) licenses, acquisitions, and other transactions
Support M&A due-diligence, third party IP litigation and dispute-resolution efforts
Support continuous improvement of Archer IP processes to keep ahead of industry best-practices

What we offer

Bonuses
Stock compensation

Fulltime

Senior Examiner, Personal Umbrella Claims

This is an exciting opportunity to join our reimagined and growing Personal Umbr...

Location

United States , Lakeland; Virginia Beach; Richardson; Poway; North Liberty

Salary:

65600.00 - 129150.00 USD / Year

Geico

Expiration Date

Until further notice

Requirements

Minimum of 5 years of Personal Umbrella Insurance – insurance that provides an additional layer of coverage beyond what is offered by standard homeowner, auto and other insurance
Experience conducting thorough investigations, including obtaining statements and analyzing relevant documents, for Personal Umbrella claims
3-5 years’ experience supporting a variety of claims including auto, homeowner, casualty, defamation, etc.
Managed claims that were attorney retained, high severity/complex exposure claims
Experience managing a range of liability scenarios, from straightforward to complex, such as dog bites, slip/falls, and general liability preferred within a TPA or insurance carrier setting
Strong technical expertise in insurance policies, coverage analysis, and litigation management. Knowledge of statutory requirements for claims handling across multiple states preferred
Excellent communication skills-both written and verbal-able to communicate effectively with internal and external customers
Proven investigative skills to assess claims, determine liability, and mitigate risk
Strong negotiation and conflict resolution skills
Current Adjuster License or ability to obtain one within 30 days of employment

Job Responsibility

Evaluate and manage excess personal liability (auto, premises, personal injury, and other personal liability) claims
Investigate, evaluate and resolve excess claims
Play a critical role in ensuring fair and efficient claims resolution for our insureds

What we offer

Licensing and continuing education support at no cost
Leadership development programs and hundreds of eLearning courses
Access to GEICO Strive Program, providing associates with tuition assistance
Comprehensive healthcare and well-being support available on Day 1
401(k) plan with a 6% pre-tax contribution. We match 100% of your contributions, up to 6% of your eligible earnings
Sign-On Bonuses: $1,500 for active Property and Casualty or personal lines insurance license holders
Performance-based bonuses and merit increases
Workplace flexibility as well as our GEICO Flex program, which offers the ability to work from anywhere in the US for up to four weeks per year

Fulltime

Senior examiner

Location

Salary:

Not provided

AQA

Expiration Date

Until further notice

Requirements

A list of relevant qualifications along with the dates you achieved them
Your relevant employment history, along with the dates of employment
A personal statement outlining your skills and suitability (of no more than 500 words)

Senior examiner

Location

Salary:

Not provided

AQA

Expiration Date

Until further notice

Requirements

A list of relevant qualifications along with the dates you achieved them
Your relevant employment history, along with the dates of employment
A personal statement outlining your skills and suitability (of no more than 500 words)

Senior examiner

AQA

Location:

Category:
Education

Contract Type:
Not provided

Salary:

Requirements:

Additional Information:

Job Posted:
April 19, 2026

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